Active NPI 1194934752 Individual Practitioner Male Practitioner

Dr. Timothy Ryan Pflugner , MD

Orthopaedic Surgery • Dothan, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Pflugner, MD is a certified Orthopaedic Surgery practicing in Dothan, AL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Pflugner delivers high-quality medical care to the local community at 1500 ROSS CLARK CIR.

Dr. Pflugner is affiliated with S.B.J.S. Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, x-ray of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Ross Clark Cir

Dothan, AL 363014754

Telephone 3347932663

Fax 3348362248

Associated Practice Facility / Clinic

🏢 Sbjs Pc Facility NPI 1134106065

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Dothan, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -7.8 yrs vs City Avg

City Avg: 27.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

17 Specialists

Practicing in Dothan, AL (368 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pflugner (20 Years) 20 Yrs

Dothan Specialty Average (27.8 Years) 27.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	289	196	$125.00	$114.43
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	225	144	$18.00	$6.86
99213 Established patient office or other outpatient visit, typically 15 minutes	177	134	$88.00	$80.54
73564 X-ray of knee, 4 or more views	153	116	$123.00	$40.07
20610 Aspiration and/or injection of fluid from large joint	121	88	$132.69	$66.44
73502 X-ray of hip, 2-3 views	115	83	$90.00	$39.52
73560 X-ray of knee, 1-2 views	83	47	$91.00	$28.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	82	68	$124.00	$92.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$186.00	$151.40
73030 X-ray of shoulder, minimum of 2 views	72	44	$103.00	$29.09
72100 X-ray of lower and sacral spine, 2-3 views	35	35	$139.00	$34.41
27447 Replacement of knee joint, both sides of knee	27	26	$6298.00	$1152.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$251.00	$160.40
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$6244.00	$1155.00
73610 X-ray of ankle, minimum of 3 views	14	11	$105.00	$30.38
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$3877.00	$1103.73
72040 X-ray of upper spine, 2-3 views	12	11	$101.00	$32.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$121.00	$109.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,536	24	$20.31	$9.49
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	429	141	$18.00	$6.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	173	$125.00	$117.60
99213 Established patient office or other outpatient visit, typically 15 minutes	166	124	$88.00	$81.69
20610 Aspiration and/or injection of fluid from large joint	150	108	$121.00	$65.01
73564 X-ray of knee, 4 or more views	126	91	$123.00	$40.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$186.00	$155.14
73502 X-ray of hip, 2-3 views	84	68	$90.00	$40.04
73560 X-ray of knee, 1-2 views	75	45	$91.00	$28.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	67	52	$124.00	$93.69
73030 X-ray of shoulder, minimum of 2 views	64	40	$103.00	$29.46
72100 X-ray of lower and sacral spine, 2-3 views	42	42	$139.00	$34.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	33	$121.00	$113.77
73110 X-ray of wrist, minimum of 3 views	19	12	$105.00	$35.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$128.00	$104.89
27447 Replacement of knee joint, both sides of knee	15	15	$6298.00	$1203.80
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$4682.00	$1095.61
72148 MRI scan of lower spinal canal	12	12	$991.00	$109.89
72040 X-ray of upper spine, 2-3 views	12	12	$101.00	$31.90
73221 Mri scan of arm joint without contrast	11	11	$991.00	$136.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	450	160	$18.00	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	233	170	$88.00	$85.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	156	$125.00	$121.52
20610 Aspiration and/or injection of fluid from large joint	153	110	$121.00	$68.33
73564 X-ray of knee, 4 or more views	143	113	$123.00	$41.37
73502 X-ray of hip, 2-3 views	102	81	$90.00	$41.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$186.00	$155.10
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	66	59	$124.00	$96.08
73560 X-ray of knee, 1-2 views	60	38	$91.00	$30.28
73030 X-ray of shoulder, minimum of 2 views	60	49	$103.00	$31.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$128.00	$107.20
72100 X-ray of lower and sacral spine, 2-3 views	40	39	$139.00	$34.68
73110 X-ray of wrist, minimum of 3 views	31	12	$105.00	$36.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$251.00	$182.77
27447 Replacement of knee joint, both sides of knee	19	18	$6298.00	$1244.63
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	18	$4682.00	$1156.47
73522 X-ray of both hips, 3-4 views	13	12	$106.00	$44.64
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$6244.00	$1245.71
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3877.00	$1185.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	368	133	$18.00	$7.11
99213 Established patient office or other outpatient visit, typically 15 minutes	270	193	$88.00	$86.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	135	$121.41	$120.70
20610 Aspiration and/or injection of fluid from large joint	140	105	$121.00	$65.76
73502 X-ray of hip, 2-3 views	127	95	$90.00	$39.43
73564 X-ray of knee, 4 or more views	118	95	$123.00	$40.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg	117	26	$5.25	$0.17
73560 X-ray of knee, 1-2 views	106	52	$91.00	$30.31
73030 X-ray of shoulder, minimum of 2 views	96	53	$103.00	$29.65
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	72	61	$124.00	$95.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$186.00	$160.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$128.00	$108.36
72100 X-ray of lower and sacral spine, 2-3 views	28	28	$139.00	$36.27
73110 X-ray of wrist, minimum of 3 views	27	12	$105.00	$32.23
27245 Treatment of broken neck of thigh bone with bone implant	25	25	$3877.00	$1209.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$251.00	$195.38
73610 X-ray of ankle, minimum of 3 views	23	13	$105.00	$28.20
73552 X-ray of thigh bone, minimum 2 views	21	15	$70.00	$28.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$55.00	$50.63
27447 Replacement of knee joint, both sides of knee	18	18	$6298.00	$1235.68
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$4682.00	$1175.44
73721 Mri scan of leg joint without contrast	15	15	$991.00	$136.96
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$6244.00	$1184.50
72040 X-ray of upper spine, 2-3 views	12	12	$101.00	$30.38
73522 X-ray of both hips, 3-4 views	12	12	$106.00	$47.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	513	14	$18.79	$10.00
99213 Established patient office or other outpatient visit, typically 15 minutes	326	224	$78.75	$70.86
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	309	118	$18.00	$6.98
73564 X-ray of knee, 4 or more views	149	108	$123.00	$39.53
20610 Aspiration and/or injection of fluid from large joint	123	103	$121.00	$61.90
73502 X-ray of hip, 2-3 views	95	64	$90.00	$40.83
73030 X-ray of shoulder, minimum of 2 views	56	40	$103.00	$29.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$128.00	$102.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$118.00	$104.30
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	45	37	$124.00	$88.85
73552 X-ray of thigh bone, minimum 2 views	43	25	$70.00	$28.28
73560 X-ray of knee, 1-2 views	31	25	$91.00	$27.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$64.00	$43.00
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$139.00	$34.48
73610 X-ray of ankle, minimum of 3 views	26	16	$105.00	$32.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$251.00	$197.77
27245 Treatment of broken neck of thigh bone with bone implant	18	18	$3877.00	$1199.00
27447 Replacement of knee joint, both sides of knee	13	13	$6298.00	$1325.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,376	25	$19.66	$11.20
99213 Established patient office or other outpatient visit, typically 15 minutes	397	258	$75.00	$68.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	309	120	$18.00	$6.73
20610 Aspiration and/or injection of fluid from large joint	144	105	$121.00	$56.34
73564 X-ray of knee, 4 or more views	135	109	$123.00	$36.42
73502 X-ray of hip, 2-3 views	104	69	$90.00	$36.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$128.00	$98.18
73030 X-ray of shoulder, minimum of 2 views	75	51	$103.00	$26.94
73560 X-ray of knee, 1-2 views	71	45	$91.00	$26.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	60	$118.00	$100.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	46	$49.42	$48.91
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	45	36	$124.00	$83.33
73552 X-ray of thigh bone, minimum 2 views	45	19	$70.00	$26.75
73610 X-ray of ankle, minimum of 3 views	44	20	$105.00	$27.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$251.00	$187.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$64.00	$41.36
72100 X-ray of lower and sacral spine, 2-3 views	30	30	$139.00	$32.87
J1885 Injection, ketorolac tromethamine, per 15 mg	24	11	$21.00	$0.53
73110 X-ray of wrist, minimum of 3 views	23	14	$105.00	$31.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$186.00	$153.64
27447 Replacement of knee joint, both sides of knee	16	16	$6298.00	$1224.52
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$3877.00	$1080.21
73721 Mri scan of leg joint without contrast	12	11	$991.00	$146.70
27130 Replacement of thigh bone and hip joint with prosthesis	12	11	$6244.00	$1265.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	365	231	$75.00	$66.52
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	347	126	$18.00	$7.02
20610 Aspiration and/or injection of fluid from large joint	151	105	$121.00	$54.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$128.00	$98.04
73502 X-ray of hip, 2-3 views	104	69	$90.00	$31.86
73564 X-ray of knee, 4 or more views	88	72	$123.00	$34.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	70	$64.00	$40.04
73030 X-ray of shoulder, minimum of 2 views	70	40	$103.00	$23.71
73560 X-ray of knee, 1-2 views	67	42	$91.00	$26.97
73562 X-ray of knee, 3 views	61	39	$102.00	$30.40
73610 X-ray of ankle, minimum of 3 views	47	29	$105.00	$24.89
73552 X-ray of thigh bone, minimum 2 views	47	25	$70.00	$22.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	44	$118.00	$100.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	35	$49.42	$48.63
73110 X-ray of wrist, minimum of 3 views	39	17	$105.00	$29.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$251.00	$186.28
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	30	29	$123.40	$86.11
73070 X-ray of elbow, 2 views	29	15	$97.00	$22.01
72100 X-ray of lower and sacral spine, 2-3 views	28	27	$139.00	$29.81
27245 Treatment of broken neck of thigh bone with bone implant	22	21	$3877.00	$1087.24
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$6244.00	$1256.45
72040 X-ray of upper spine, 2-3 views	15	14	$101.00	$29.43
27447 Replacement of knee joint, both sides of knee	15	15	$6298.00	$1255.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	187	$75.00	$65.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	249	109	$18.00	$6.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$128.00	$97.48
20610 Aspiration and/or injection of fluid from large joint	142	93	$121.00	$49.11
73562 X-ray of knee, 3 views	123	92	$102.00	$30.78
73502 X-ray of hip, 2-3 views	83	50	$90.00	$32.59
73610 X-ray of ankle, minimum of 3 views	77	39	$105.00	$26.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	57	$64.00	$39.42
73030 X-ray of shoulder, minimum of 2 views	39	29	$103.00	$22.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	31	$49.42	$48.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	30	$251.00	$191.52
73552 X-ray of thigh bone, minimum 2 views	31	19	$57.25	$20.17
73560 X-ray of knee, 1-2 views	26	20	$91.00	$26.93
73110 X-ray of wrist, minimum of 3 views	23	13	$105.00	$31.79
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$139.00	$30.03
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$3877.00	$1142.01

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AL 28579

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME120014

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

S.b.j.s. Pc

1500 Ross Clark Cir, Dothan, AL 363014754

Phone: 3347932663

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

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Physical Therapy Assistant

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Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2016

Registered at 1500 ROSS CLARK CIR, DOTHAN, AL 363014754 (Tel: 3347932663)

📍

Updated Business Mailing Address October 04, 2016

Registered at PO BOX 729, DOTHAN, AL 363020729 (Tel: 3347932663)

👤

Provider Name / Credentials Updated October 04, 2016

Recorded as TIMOTHY PFLUGNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2016

Orthopaedic Surgery (License #28579 in AL)

🟢

Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194934752

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 21, 2007

Last Update: October 04, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 729

Dothan, AL 363020729

Phone: 3347932663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.